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General NPI Number Information
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NPI Number | 1508551235
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Entity Type | Organization
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Legal Business Name | BAY 9 HOLDINGS LLC
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 8502 EDGEMERE RD
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City | DALLAS
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State | TX
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Zip | 75225-3523
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Country | US
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Telephone | 214-265-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 8502 EDGEMERE RD
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City | DALLAS
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State | TX
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Zip | 75225-3523
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Country | US
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Telephone | 214-265-9100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KJERSTIN HATCH
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Credential |
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Telephone | 415-376-6286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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